health-congress-2017-posters-accepted-abstracts

33 / 39

Page 79
Notes:
conferenceseries.com
Volume 5, Issue 4 (Suppl) Occup Med Health Aff
ISSN: 2329-6879 OMHA, an open access journal Health Congress 2017
October 16-17, 2017
October 16-17, 2017 Dubai, UAE
12th World Congress on
Industrial Health, Healthcare and Medical Tourism
Screening and management of hypertension in a general practice outpatient department of a tertiary
level teaching hospital, Nepal
Ashok Kumar Yadav, O D Lewis, S K Sharma, I P Mahato and R Bhandari
B.P. Koirala Institute of Health Sciences, Nepal
Background: Hypertension is a common disease affecting about 20% of the adult population, both in developed and developing
world (WHO 2002). It is one of the serious public health problems of the world. Many people are unaware that they are
hypertensives. Others have been diagnosed but fail to comply with treatment.
Purpose: To find out the prevalence of systemic hypertension in GOPD and to study the effect of drugs and lifestyle education
on the blood pressure over time.
Methods: A total of 258 patients were included. Everyone of age more than 15 years was eligible. This study involved screening,
diagnosis and management of the patients with blood pressure higher than 140/90 mmHg or known hypertension as per JNC7.
The persons, who were diagnosed to have hypertension, were then counseled in terms of life style modification, investigated
and treated as per the JNC 7 guidelines.
Results: Out of 258 subjects, 145 were diagnosed to have hypertension in the initial screening. The blood pressure was in
the normal range in the younger age groups, with a gradual increase in grades of hypertension with increasing age. Among
females, the majority remained normotensive up until the sixth decade, whereas the male participants started to show a higher
range of blood pressure by the fifth decade. More than 30% of the screened population were smokers or had smoked regularly
in the past and all of them were either regular or occasional drinkers. There was a small but statistically insignificant increase
in number of positive family history conditions in cases with stage 1 and 2 hypertension.
Conclusion: The study showed that the prevalence of hypertension is 56% in general outpatient department of the BPKIHS.
Thus, drugs and the lifestyle education have a
Occup Med Health Aff 2017, 5:4 (Suppl)
DOI: 10.4172/2329-6879-C1-038